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New Generation Daycare and Learning Center
603 Lincoln Street
Norfolk, VA 23510
(757) 623-3143

Current Inspector: Rene Old (757) 404-1784

Inspection Date: April 14, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 SANCTIONS.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 04/14/2017 from 11:00am - 3:15pm. At the time of entrance there were 50 children, ages infant - 18 years, in care with seven staff. Children were observed during morning program time, outdoor play, and nap. Infant/toddler standards were reviewed. The inspector additionally reviewed: medication, documentation of injuries and emergency practice drills, diapering and hand washing, the posted menu and supervision procedures. The violations are listed on the violation notice and were reviewed with the program director at the exit interview.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center failed to obtain the required documentation for a child lacking immunizations due to religious tenets or practices: "Documentation of immunizations is not required for any child whose (i) parent submits an affidavit to the center, on the form entitled "Certification of Religious Exemption," stating that the administration of immunizing agents conflicts with the parent's or child's religious tenets or practices." Evidence: 1. Documentation of immunizations was not on file for child #1. Child #1 began care on 4/11/2016. 2. There was a letter on file from the physician of child #1 stating the parent's of child #1 had refused all immunizations due to religious tenants. 3. The form entitled "Certification of Religious Exemption" was not on file for child #1.

Plan of Correction: The Certificate of Exemption was provided to the parent to return by May 5, 2017.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that children's records shall contain the following information: *Place of employment of each parent who has custody; *Previous child day care and schools attended by the child. Evidence: 1. The place of employment for one parent was not listed in the record of child #3. 2. Documentation of previous child care attendance is not listed in the record of child #6. 3. Administrative staff verified this information was not on file.

Plan of Correction: The information was obtained and documented from the parent on April 14, 2017.

Standard #: 22VAC40-185-230-C
Description: Based on interview, the center failed to ensure that volunteers who work with children shall be at least 13 years of age. Evidence: 1. The inspector observed a group of six children, ranging in age from 11 years up to 18 years, in a room located in the back of the center at approximately 11:45am. a. All of the children stated they had been "helping out in the classrooms with the children." 2. Administrative staff stated that these six children were children of staff #3, staff #4 and staff #5 and were volunteering with a center Easter Egg Hunt. 3. Two of these children were under the age of 13 years - which is the required age for a volunteer. a. Child #8 informed the inspector she was 11 years of age. b. Child #9 informed the inspector she was 12 years of age.

Plan of Correction: We had our annual Easter Egg Hunt in which we allowed and utilized staff children to participate and help with hiding the Easter eggs in designated areas. The children were supervised within the classrooms. In the future we will only have staff or trained volunteers assist us with any center-wide functions.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: 1. A ten-month old infant, child 6, was observed napping in a crib with a loose crib sheet. a. Loose crib sheets are a suffocation and strangulation hazard. 2. A loose plastic grocery bag was observed stored in an accessible and unlocked drawer in the toddler/two's class when this room was observed at 11:20am. a. Children were observed playing on the floor adjacent to this set of drawers. b. Plastic grocery bags are a suffocation hazard.

Plan of Correction: On April 15, 2017, the infant staff has been retrained on ensuring that all infant sheets are tightly fit. We will also retrain the remaining staff on May 3, 2017, on infant matters addressed as well as other safety concerns noted within our licensing visit. Management will check regularly to ensure that staff are following the proper protocol.

Standard #: 22VAC40-185-340-A
Description: Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Evidence:
1. When the infant room was observed at various intervals between 11:10am - 12:07pm an eight year old child (child 7) was observed in a caretaker role with a nine month old infant (child #2).
a. The infant teacher (staff #1) stated that child #7 was her daughter.
2. Child #7 was observed holding child #2, rocking child #2, placing child #2 in and out of the infant swing and picking child #2 off of the floor.
3. During nap time child #7 was observed in the toddler classroom rubbing the back of a napping child.
4. The care of child #2 was placed at risk when an eight-year old child was allowed to function in a caregiver role.

Plan of Correction: We will ensure that staff children and/or volunteers will refrain from handling other children in our facility.

Standard #: 22VAC40-185-340-G
Description: Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff. Evidence: 1. A group of six children, ages 11 years - 18 years, were observed in a classroom without staff supervision. No staff were present when this room of children was reviewed at approximately 11:15am. a. Child #8 is 11 years of age, child #9 is 12 years of age, child #10 & #11 are 14 years of age, child #12 is 16 years of age and child #13 is 18 years of age. 2. This room is located in the back of the center away from the regular classrooms and the door was closed. a. The location of this classroom did not allow for the children to be observed or heard from the main child care areas of the center. 3. All available staff were observed working in the child care classrooms and were not available to care for, assist or check on this group of children.

Plan of Correction: With parent knowledge and permission, the children were in the staff-lounge when the Easter Egg hunt was not in session. The oldest of the group was 18 and the group was also being monitored periodically by the Program Director, as well as other staff. The children were in the staff lounge, staying out of the classrooms when they were not assisting with the center activity. Due to this violation and a better understanding of this standard, we will no longer allow staff children to be in the staff lounge without their parent and/or direct staff supervision.

Standard #: 22VAC40-185-350-C
Description: Based on observation and interview, the center failed to ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. *For children 16 months old to two years: one staff member for every five children; *For two-year old children: one staff member for every eight children. Evidence: 1 At 11:13am a group of 11 children, ages sixteen months - two years, were observed with two staff. (staff #2 and staff #3) a. Three staff were needed as the youngest child in the group was sixteen months. 2. Staff #3 confirmed that a third staff was not present for this group. 3. Two staff remained with the 11 toddler & two-year old children until 12:07pm when a third staff arrived.

Plan of Correction: On the date of the inspection, we were not expecting a full center due to expected absences and due to it being the last day of Spring Break. We had also sent one staff member home sick early that morning and had another staff member already scheduled out. We will ensure that we have adequate back-up staff in place to avoid being out of ratio in the future.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and interview, the center failed to ensure the following ratios of staff to children are required wherever children are in care: * For children from birth to the age of 16 months: one staff member for every four children. Evidence: 1. One staff was observed caring for five infants when the infant class was observed at 11:10am. In addition, there was a 6th child, age eight years, under the care of staff #1 in the infant room. 2. Staff #1 stated the fifth infant arrived at 9:45am. a. Staff #1 further confirmed she had been without a second staff since the arrive of the fifth child. 3. One staff continued to care for five infants and one school age child until 12:07pm when a second staff person arrived. 4. Two staff were needed as the group consisted of five infants and one school age child.

Plan of Correction: We will ensure that we have adequate back-up staff in place to avoid being out of ratio in the future.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the center failed to ensure that the diapering surface shall be nonabsorbent. Evidence: 1. The diapering pad in the infant room had two rips/tears in the plastic surface. 2. These tears allow germs to be absorbed into the padding underneath therefore, the surface is no longer nonabsorbent.

Plan of Correction: The diaper changing pad was removed on April 14, 2017. We will monitor all diaper changing pads monthly to keep track of any possible tears.

Standard #: 22VAC40-185-560-G
Description: Based on observation, the center failed to ensure that when food is brought from home the food contained shall be clearly dated. Evidence: 1. Two opened cans of powdered infant formula were not dated. 2. Three opened boxes of infant rice/oatmeal cereal were not dated.

Plan of Correction: On April 15, 2017, the infant staff has been retrained on ensuring that all infant formula and infant food is labeled with the child's name and date. We will also retrain the remaining staff on May 3, 2017, on infant matters addressed as well as other safety concerns noted within our licensing visit. Management will check regularly to ensure that staff are following the proper protocol.

Standard #: 22VAC40-185-570-E
Description: Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evident: 1. One bottle of prepared infant formula lacked a name label. 2. Four bottles of prepared infant formula lacked a date label. 3. Three bottles of breast milk lacked a name and date label. a. The bottles were stored inside of a dated/labeled bag however, the individual bottles inside were not labeled as required.

Plan of Correction: On April 15, 2017, the infant staff has been retrained on ensuring that all infant bottles are labeled with the child's name and date. We will also retrain the remaining staff on May 3, 2017, on infant matters addressed as well as other safety concerns noted within our licensing visit. Management will check regularly to ensure that staff are following the proper protocol.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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